Corgard, Alti-Nadolol
INadolol isetshenziswa yodwa noma ngokubambisana nezinye izidakamizwa zokwelapha ukucindezeleka kwegazi (hypertension). Ukucindezeleka kwegazi okuphezulu kwandisa umsebenzi wenhliziyo nemisipha yegazi. Uma kuqhubeka isikhathi eside, inhliziyo nemisipha yegazi ingase ingasebenzi kahle. Lokhu kungalimaza imithambo yegazi yengqondo, inhliziyo, namalunga, okuholela ekuhambeni komchamo, ekuhlulekeni kwenhliziyo, noma ekuhlulekeni kwamalunga. Ukucindezeleka kwegazi okuphezulu kungase futhi kukhulise ingozi yokuhlaselwa yinhliziyo. Lezi zinkinga zingase zingabi khona uma ukucindezeleka kwegazi kulawulwa. INadolol isetshenziswa futhi ekwelapheni ubuhlungu obukhulu besifuba (angina). Lolu dokotela yi-beta-blocker. Isebenza ngokuthinta impendulo emimpulsini yezinzwa ezindaweni ezithile zomzimba, njengasehliziyweni. Ngenxa yalokho, inhliziyo ishaya kancane futhi inqume ukucindezeleka kwegazi. Uma ukucindezeleka kwegazi kuncishisiwe, inani legazi no-oksijini likhuphuka enhliziyweni. Lolu dokotela luyatholakala kuphela ngomyalo wodokotela wakho. Lo mkhiqizo uyatholakala ngezindlela zokulinganisa ezilandelayo:
Uma kunquma ukusebenzisa imithi, kufanele kuqhathaniswe ingozi yokusebenzisa imithi nezinzuzo ezizoletha. Lo ngumqondo owenzayo wena nodokotela wakho. Kule mithi, kufanele kucabangelwe okulandelayo: Tshela udokotela wakho uma uke waba nanoma yiluphi uhlobo oluqondile noma oluhambelanayo lwe-allergic kule mithi noma kunoma iyiphi enye imithi. Tshela futhi ochwepheshe bakho bezempilo uma unezinye izinhlobo ze-allergies, njengokudla, izidakamizwa, izigcini, noma izilwane. Ngomkhiqizo ongenayo iresiphi, funda ilebula noma izithako zephakheji ngokucophelela. Izifundo ezifanele azikwenzelwanga ubudlelwano bobudala nemiphumela ye-nadolol kubantu abancane. Ukuphepha nokuphumelela akukaqiniswa. Ayikho imininingwane etholakalayo ngobudlelwane bobudala nemiphumela ye-nadolol kubantu abadala. Ayikho izifundo ezifanele kubesifazane zokunquma ingozi yengane uma usebenzisa le mithi ngesikhathi sokuncelisa. Linganisa izinzuzo ezingaba khona nezingozi ezingaba khona ngaphambi kokusebenzisa le mithi ngesikhathi sokuncelisa. Nakuba ezinye izidakamizwa kufanele zingasetshenziswa ndawonye, kwezinye izimo imithi emibili ehlukene ingasetshenziswa ndawonye ngisho noma kungenzeka ukuthi kube khona ukusebenzisana. Kulezi zimo, udokotela wakho angase afune ukushintsha umthamo, noma ezinye izinyathelo zokuphepha zingadingeka. Uma uthatha le mithi, kubaluleke kakhulu ukuthi ochwepheshe bakho bezempilo bazi uma uthatha noma iyiphi imithi ehlaliswe ngezansi. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo ngokuvamile akunconywa, kodwa kungadingeka kwezinye izimo. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ukusebenzisa le mithi nanoma iyiphi imithi elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibuhlungu, kodwa ukusebenzisa kokubili imithi kungaba ukwelashwa okuhle kuwe. Uma kokubili imithi ilotshiwe ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani enye noma kokubili imithi. Ezinye izidakamizwa akufanele zisetshenziswe ngesikhathi noma eduze kwesikhathi sokudla ukudla noma ukudla izinhlobo ezithile zokudla ngoba ukusebenzisana kungase kwenzeke. Ukusebenzisa utshwala noma utshaba nezinye izidakamizwa kungabangela ukusebenzisana. Ukusebenzisana okulandelayo kukhethwe ngesisekelo sokubaluleka kwabo okungenzeka futhi akuyona yonke into. Ukusebenzisa le mithi nanoma yini elandelayo kungabangela ukwanda kengozi yezinye izingozi ezibuhlungu kodwa kungase kungaphepheki kwezinye izimo. Uma kusetshenziswa ndawonye, udokotela wakho angase ashintshe umthamo noma ukuthi uyayisebenzisa kangakanani le mithi, noma akunikeze imiyalo ekhethekile mayelana nokusetshenziswa kokudla, utshwala, noma utshaba. Ukuba khona kwezinye izinkinga zezokwelapha kungathinta ukusetshenziswa kwale mithi. Qiniseka ukuthi utshela udokotela wakho uma unezinye izinkinga zezokwelapha, ikakhulukazi:
Thatha lelihlungu kuphela njengoba uqondiswe yidoctor yakho. Ungathathi okuningi kwalokho, ungathathi kaningi, futhi ungathathi isikhathi eside kunalokho udokotela wakho akuqondisile. Umthamo wakho ungase udinge ukushintshwa izikhathi eziningi ukuze uthole ukuthi yini esebenza kangcono kuwe. Ngaphezu kokusetshenziswa kwalelihlungu, ukwelashwa kwegazi lakho eliphezulu kungafaka ukulawula isisindo nokushintsha izinhlobo zokudla okudlayo, ikakhulukazi ukudla okune-sodium eningi. Udokotela wakho uzokutshela ukuthi yiziphi eziqakathekile kuwe. Kufanele ukhulumisane nodokotela wakho ngaphambi kokushintsha ukudla kwakho. Abaguli abaningi abanegazi eliphezulu ngeke baphawule noma yiziphi izimpawu zenkinga. Eqinisweni, abaningi bangase bazizwe beqondile. Kubalulekile kakhulu ukuthi uthathe imithi yakho ngokuqondile njengoba uqondiswe futhi ugcine iziyalezo zakho nodokotela wakho ngisho noma uzizwa kahle. Khumbula ukuthi lelihlungu ngeke luphilise igazi lakho eliphezulu, kodwa liyasiza ukulilawula. Kumele uqhubeke ulithatha njengoba uqondiswe uma ulindele ukunciphisa igazi lakho eliphezulu futhi uligcine phansi. Ungase udinge ukutatha imithi yegazi eliphezulu impilo yakho yonke. Uma igazi eliphezulu lingaphathwa, lingabangela izinkinga ezinkulu ezifana nokungasebenzi kahle kwenhliziyo, isifo sezimbobo zegazi, isifo sobuchopho, noma isifo sokukhubazeka kwesibindi. Ungathatha lelihlungu ngokudla noma ngaphandle kokudla. Umthamo walelihlungu uzobahlukile kubantu abahlukene. Landela imiyalo yodokotela wakho noma imiyalo esemthethweni. Ulwazi olulandelayo lufaka kuphela imithamo yalelihlungu. Uma umthamo wakho uhlukile, ungawushintshi ngaphandle kokuthi udokotela wakho akuqondise ukwenza kanjalo. Inani lemithi oyithatha lixhomeke emandleni wemithi. Futhi, inani lemithamo oyithatha nsuku zonke, isikhathi esivunyelwe phakathi kwemithamo, nobude besikhathi oyithatha imithi kuxhomeke enkingeni yezokwelapha oyisebenzisela imithi. Uma uphuthelwa umthamo walelihlungu, uthathe ngokushesha okukhulu. Noma kunjalo, uma sekusondele isikhathi somthamo wakho olandelayo, skip umthamo ophuthelwe bese ubuyela esimweni sakho sokuthola umthamo ojwayelekile. Ungawandisi imithamo. Gcina imithi esitsheni esivaliwe ekushiseni kweqembu, kude nokushisa, ukufuma, nokukhanya okuqondile. Gcina ungayikhiphi. Gcina ingafinyeleleki kubantwana. Ungagcini imithi eliphelile noma imithi engasadingeki. Buza ochwepheshe bakho bezempilo ukuthi kufanele ulahle kanjani noma iyiphi imithi ongayisebenzisi.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.